title: A case for the implementation of cognitive-communication screenings in acute stroke.
abstract: OBJECTIVE
  The purpose of this article was to illustrate the importance of the implementation of cognitive-communication screenings in acute stroke and to discuss the need for further research on whether and how these screenings are implemented. Cognitive-communication screenings after stroke are the subject of existing practice guidelines and are supported by accumulated evidence.
  
  
  METHODS
  The author uses an autoethnographic narrative--a tool founded in phenomenology--to provide an in-depth description of the experiences of a family in which one member experienced right-hemispheric stroke. She uses systematic introspection to produce a narrative using literary techniques.
  
  
  RESULTS
  The narrative illustrates the experiences of one family when one of their members has a right-hemisphere stroke, and cognitive-communication impairments are never formally identified by professionals involved in the patient's care.
  
  
  CONCLUSIONS
  The narrative is linked to the published literature and the importance of identifying and managing cognitive-communication impairments after stroke. A model of implementation science is presented as one way to consider the challenges clinicians face when attempting to implement evidence-based practices. The model and examples from other fields show avenues for further research.
authors.forename: Jacqueline J
authors.initials: JJ
authors.lastname: Hinckley
mesh_terms: D000203:Activities of Daily Living / Q000145:classification; D000884:Anthropology, Cultural; D017028:Caregivers / Q000523:psychology; D002544:Cerebral Infarction / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation; D003072:Cognition Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation; D003131:Combined Modality Therapy; D003147:Communication Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D019983:Guideline Adherence; D006284:Health Plan Implementation / Q000458:organization & administration*; D006297:Health Services Accessibility; D006801:Humans; D015994:Incidence; D007807:Language Tests; D008297:Male; D008403:Mass Screening / Q000458:organization & administration*; D008875:Middle Aged; D009483:Neuropsychological Tests; D017410:Practice Guidelines as Topic; D011379:Prognosis; D012008:Recurrence